Five issues: Seniors hostility in care homes


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However in the year from April 2014 to March 2015 there were 422 episodes of aggression between residents in B.C. homes, happening mainly in facilities which have a greater amount of elderly people in need of complex care. That was on the list of findings released Monday by B.C. senior citizens advocate Isobel Mackenzie, inside a report entitled Resident to Resident Hostility in B.C. Care Homes.

Objective of this review

To observe incidents of aggression between residents that brought harm and also to uncover the locations where the episodes were occurring. Data was accumulated between Apr 1, 2014 and March 31, 2015.

Mackenzie said she'd have anticipated to see most episodes taking place in shared bedrooms, but that wasn't the reality. Instead, the majority of situations took place in public places, for example a dining-room (30 percent of documented incidents), hallway (18 per cent), living room area (Twelve percent) and outside (two per cent).

Thirty-five percent of resident on resident hostility happened inside a resident’s bedroom.

The biggest number of occurrences documented by a center was 20 - in the Kiwanis Care Centre in North Vancouver, a 189 bed facility operated and owned by Vancouver Coastal Wellness.

Staffing levels

Centres which documented resident on resident hostility occurrences had significantly more complex-care residents (those with diagnosed aggressive behaviors, dementia, and psychological diagnoses, for instance).

Those facilities had direct health care financing of 3.08 hours of direct health care per resident per day, on average, in comparison to 3.13 hours for facilities reporting no incidents. Mackenzie asserted even though this variation might seem minor, it equals 182 less eight-hour shifts annually in an eighty bed facility.

The Secretary of state for Health advises that staff guidelines inside a assisted living facility should be a minimum of 3.36 hours daily per resident. Inside a statement last April, Mackenzie found Eighty two per cent of publicly funded facilities did not fulfill that recommendation. After that report, Minister of Health and wellbeing Terry Lake announced an assessment into staffing levels.

Time and day

Most resident-on-resident aggression took place in between Four and 8 p.m., when 39 percent of all documented occurrences occurred. The time period that had the subsequent greatest number of incidents (26 per cent) was noon to Four p.m.

“This is a busy time for staff members, who might be distributing dinner time or bedtime medications, or helping residents back and forth from the dining room. It's also a period when there are fewer activities for residents and boredom may occur before or after dinner,” the report claims.

Incidents were recorded through the entire 7 days, with a slight surge on Wednesdays (Seventeen per cent) as well as a slight drop on Tuesdays (11 per cent).

Gender and age

Victims were overwhelmingly older, frail women with much less range of motion, said Mackenzie.

53 percent of the victims were 85 years or slightly older, Thirty five percent were aged 75-84 and 12 percent were within the 65-74 age group.

In Forty six percent of the episodes, the assailant was aged 75-84, while Forty one per cent of aggressors were Eighty five years or older.

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